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HomeMy WebLinkAboutPermit Electrical 1998-1-1 ,i- ". , , , THIS PERMit SHA follow rules adopted by the i1ity ~t!.., , ; A" ' LL EXPIRE IF1'ffl!i~B9J1 Center. Those rul rt'fiiII1I ' , ,UTHOAIZED UNDER THIS P .jf,\,QAR'9'!I2-001-0010thro~gh OAR 952-001- . CO^'IME:'jCrnOR IS ERlVd6lle.Nt0u may obtain copies of the rules by - . ""J .. _. -- ABANDONED FCIllHng the center (Note: the teleQ.hone ,1\ 225 FIFTH STREET' V PFf'llnn TO" "owing~' '" J..:., "~~H~iJHlliHch~PLICATION ci'l' 'bv SPRINGFIELD, OREGON 97471oc"'J,anddoesnolr~Iwi~~_2344\. . ~ \ c:::."I~ ' . INSPECTION REQUEST: 726-"31769>1. '1/ _VV -City Job Number ,\ U t OFFICE:. 726-3759 (\^ J / . ~ Zonl"" I n rr ~. IHlKPLETE FEE SCHEDULE BELOY ~~/':'-I'OO ,:: :;:r,~7.. '.. <11.(:;.. ~~. ~"i~~~;i::;S:::t:i:; ""f<. ..Jb, f1.~ ~~~t\ t'i'}'?--tJ:) Service Included: Items Cost ~ JOB DESCRIPTION 1/;:?/rjZjfiJT-: Ft-CC-Tfl/04t.. r?11.Nt:L- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 .$ 40.00 // $ 50. 00 ~. <::a- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr, Number Expiration Date , Signature of Supervising Electrician Owners Name 1//4/14 (?<s, I ..<.J / t,.!l> Address &;7/ oC;- M1 A-//V Ci ty ~flIN/lJu-?l!:-7/;t>hone ~ () ':?~? 7 OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, ~Own::~:::~~________ ATE: RECEIPT 11: RECEIVED BY: 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "Bft above D. Branch Circui ts New, Alteration or Extension Per Panel ~ $ 35.00 "0~c:n $ 2.00 ~O-- . --- not lncluded) One Circuit Each Additional Circuit or with Service or Feeder Permit II? Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Outline Lightin~----- $ Limited Energy/Res $ Limited Energy/Comm $ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 ,.,c.. 7\ - - -,.-- <~~ ~V',-,"2.... LlU , , \ , I '